Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

New York Injury Chiropractic Rehab PC

Organization Rehabilitation Chiropractor · NPI 1063085181

New York Injury Chiropractic Rehab PC is a Rehabilitation Chiropractor in Montclair, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

125 Glenridge Ave
Montclair, NJ 07042-6800
Phone: (201) 536-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Chiropractor (primary) Taxonomy 111NR0400X

Record details

NPI number1063085181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Avianne Waithe — Owner · (201) 536-0100
NPI enumeratedJuly 19, 2021
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021
Mailing addressPo Box 174, Montclair, NJ 07042-0174